Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
J Artif Organs. 2021 Jun;24(2):258-260. doi: 10.1007/s10047-020-01199-4. Epub 2020 Aug 10.
A 45-year-old woman with repaired complex congenital heart disease, who underwent placement of Jarvik 2000, a ventricular assist device (VAD) for 4 years, experienced abdominal pain due to outflow graft compression caused by seroma formation between the outflow graft and ringed Gore-Tex graft. We exchanged the pump of Jarvik 2000 and punched several small holes in the new ringed Gore-Tex graft. Seroma formation between the two grafts should be considered as a cause of outflow graft obstruction in patients with the long-term support of VAD, and additional surgical interventions to the ringed Gore-Tex graft may prevent this complication.
一位 45 岁的女性，患有复杂的先天性心脏病，已接受 Jarvik 2000 心室辅助装置（VAD）植入 4 年，因流出道移植物和带环戈尔泰克斯移植物之间的血清肿形成导致流出道移植物受压而出现腹痛。我们更换了 Jarvik 2000 的泵，并在新的带环戈尔泰克斯移植物上打了几个小孔。对于长期接受 VAD 支持的患者，应考虑将两个移植物之间的血清肿形成作为流出道移植物阻塞的原因，对带环戈尔泰克斯移植物进行额外的手术干预可能会预防这种并发症。
